NPI 1538562053

Cvs/Pharmacy

Organisation Health Maintenance Organization Lexington, SC

Practice location

Address: 1071 S Lake Dr, Lexington, SC 29073-3719
Phone: (803) 957-0605
Mailing address: 118 Beltrees Dr, Lexington, SC 29072-2070

Authorised official

Name: Whitney Hooper
Title: Pharmacist
Phone: (803) 957-0605

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 12606 (SC)

Other Health Maintenance Organization providers in South Carolina →

Registry record

NPI: 1538562053
Entity type: Organization
NPI issued: 29 Sep 2014
Record last updated: 29 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.